Utilization Management Nurse Consultant - Weekend Role

4 days ago

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CVS Health

Retail β€’ Pharmacy Benefits Management β€’ Health Insurance β€’ Health Care β€’ Pharmacy

10,000+

Description

β€’ Remote Utilization Management Nurse Consultant role involves 4 ten-hour shifts weekly. β€’ Responsible for coordinating, documenting, and communicating utilization management programs. β€’ Evaluate options to facilitate appropriate healthcare services for members. β€’ Collaborate with providers to ensure optimal care delivery. β€’ Assesses clinical information using established criteria for coverage determination.

Requirements

β€’ 3+ years of experience as a Registered Nurse. β€’ Active RN licensure in state of residence. β€’ 1+ years of clinical experience in acute or post acute setting. β€’ Strong technology skills with Excel (preferred). β€’ Managed Care experience (preferred).

Benefits

β€’ Full range of medical, dental, and vision benefits. β€’ 401(k) retirement savings plan. β€’ Employee Stock Purchase Plan. β€’ Fully-paid term life insurance plan. β€’ Short-term and long term disability benefits. β€’ Well-being programs. β€’ Education assistance and free development courses. β€’ CVS store discount and discount programs.

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